Provider Demographics
NPI:1598908014
Name:TAYLOR-ZAPATA, PERDITA (MD)
Entity Type:Individual
Prefix:DR
First Name:PERDITA
Middle Name:
Last Name:TAYLOR-ZAPATA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PERDITA
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4600 DUKE ST
Mailing Address - Street 2:SUITE 332
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-2552
Mailing Address - Country:US
Mailing Address - Phone:703-823-7400
Mailing Address - Fax:703-823-5812
Practice Address - Street 1:4600 DUKE ST
Practice Address - Street 2:SUITE 332
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-2552
Practice Address - Country:US
Practice Address - Phone:703-823-7400
Practice Address - Fax:703-823-5812
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101245307208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics